Powell, Melissa

Powell, Melissa is an individual health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Powell, Melissa can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
120 E Harris Ave San Angelo TX 76903-5904
Phone: (325) 658-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L7523 Texas

Profile Details

NPI number 1215998075
LBN Legal business name Powell, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215998075 NPPES
Texas Other 8F2223 BLUE SHIELD
Texas Other P00054555 BLUE SHIELD
Texas Other 1600363-02 BLUE SHIELD
Texas MEDICAID 1600363-01 BLUE SHIELD

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